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Title: Postoperative Stereotactic Body Radiation Therapy (SBRT) for Spine Metastases: A Critical Review to Guide Practice

Abstract

Postoperative stereotactic body radiation therapy (SBRT) for metastatic spinal tumors is increasingly being performed in clinical practice. Whereas the fundamentals of SBRT practice for intact spinal metastases are established, there are as yet no comprehensive practice guidelines for the postoperative indications. In particular, there are unique considerations for patient selection and treatment planning specific to postoperative spine SBRT that are critical for safe and effective management. The purpose of this critical review is to discuss the rationale for treatment, describe those factors affecting surgical decision making, introduce modern surgical trends, and summarize treatment outcomes for both conventional postoperative external beam radiation therapy and postoperative spine SBRT. Lastly, an in-depth practical discussion with respect to treatment planning and delivery considerations is provided to help guide optimal practice.

Authors:
 [1];  [2];  [3];  [4]
  1. Department of Radiation Oncology, Johns Hopkins University, Baltimore, Maryland (United States)
  2. Department of Radiation Oncology, University Hospitals Seidman Cancer Center, Case Comprehensive Cancer Center, Cleveland, Ohio (United States)
  3. Department of Surgery, Vancouver General Hospital, University of British Columbia, Vancouver, British Columbia (Canada)
  4. Department of Radiation Oncology, Sunnybrook Health Sciences Center, University of Toronto, Toronto, Ontario (Canada)
Publication Date:
OSTI Identifier:
22648760
Resource Type:
Journal Article
Resource Relation:
Journal Name: International Journal of Radiation Oncology, Biology and Physics; Journal Volume: 95; Journal Issue: 5; Other Information: Copyright (c) 2016 Elsevier Science B.V., Amsterdam, The Netherlands, All rights reserved.; Country of input: International Atomic Energy Agency (IAEA)
Country of Publication:
United States
Language:
English
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; DECISION MAKING; EXTERNAL BEAM RADIATION THERAPY; METASTASES; REVIEWS; VERTEBRAE

Citation Formats

Redmond, Kristin J., E-mail: kjanson3@jhmi.edu, Lo, Simon S., Fisher, Charles, and Sahgal, Arjun. Postoperative Stereotactic Body Radiation Therapy (SBRT) for Spine Metastases: A Critical Review to Guide Practice. United States: N. p., 2016. Web. doi:10.1016/J.IJROBP.2016.03.027.
Redmond, Kristin J., E-mail: kjanson3@jhmi.edu, Lo, Simon S., Fisher, Charles, & Sahgal, Arjun. Postoperative Stereotactic Body Radiation Therapy (SBRT) for Spine Metastases: A Critical Review to Guide Practice. United States. doi:10.1016/J.IJROBP.2016.03.027.
Redmond, Kristin J., E-mail: kjanson3@jhmi.edu, Lo, Simon S., Fisher, Charles, and Sahgal, Arjun. Mon . "Postoperative Stereotactic Body Radiation Therapy (SBRT) for Spine Metastases: A Critical Review to Guide Practice". United States. doi:10.1016/J.IJROBP.2016.03.027.
@article{osti_22648760,
title = {Postoperative Stereotactic Body Radiation Therapy (SBRT) for Spine Metastases: A Critical Review to Guide Practice},
author = {Redmond, Kristin J., E-mail: kjanson3@jhmi.edu and Lo, Simon S. and Fisher, Charles and Sahgal, Arjun},
abstractNote = {Postoperative stereotactic body radiation therapy (SBRT) for metastatic spinal tumors is increasingly being performed in clinical practice. Whereas the fundamentals of SBRT practice for intact spinal metastases are established, there are as yet no comprehensive practice guidelines for the postoperative indications. In particular, there are unique considerations for patient selection and treatment planning specific to postoperative spine SBRT that are critical for safe and effective management. The purpose of this critical review is to discuss the rationale for treatment, describe those factors affecting surgical decision making, introduce modern surgical trends, and summarize treatment outcomes for both conventional postoperative external beam radiation therapy and postoperative spine SBRT. Lastly, an in-depth practical discussion with respect to treatment planning and delivery considerations is provided to help guide optimal practice.},
doi = {10.1016/J.IJROBP.2016.03.027},
journal = {International Journal of Radiation Oncology, Biology and Physics},
number = 5,
volume = 95,
place = {United States},
year = {Mon Aug 01 00:00:00 EDT 2016},
month = {Mon Aug 01 00:00:00 EDT 2016}
}